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2015 ; 6
(ä): 155
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Review of the management of pneumocephalus
#MMPMID26500801
Dabdoub CB
; Salas G
; Silveira Edo N
; Dabdoub CF
Surg Neurol Int
2015[]; 6
(ä): 155
PMID26500801
show ga
BACKGROUND: Pneumocephalus (PNC) is the presence of air in the intracranial
cavity. The most frequent cause is trauma, but there are many other etiological
factors, such as surgical procedures. PNC with compression of frontal lobes and
the widening of the interhemispheric space between the tips of the frontal lobes
is a characteristic radiological finding of the "Mount Fuji sign." In addition to
presenting our own case, we reviewed the most relevant clinical features,
diagnostic methods, and conservative management for this condition. CASE
DESCRIPTION: A 74-year-old male was diagnosed with meningioma of olfactory groove
several years ago. After no improvement, surgery of the left frontal craniotomy
keyhole type was conducted. A computed tomography (CT) scan of the skull
performed 24 h later showed a neuroimaging that it is described as the silhouette
of Mount Fuji. The treatment was conservative and used continuous oxygen for 5
days. Control CT scan demonstrated reduction of the intracranial air with normal
brain parenchyma. CONCLUSION: The review of the literature, we did not find any
cases of tension pneumocephalus documented previously through a supraorbital
keyhole approach. There are a few cases reported of patients with Mount Fuji
signs that do not require surgical procedures. The conservative treatment in our
report leads to clinical and radiological improvement as well as a reduction in
hospitalization time.
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